MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,694

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Accessing four days later

    MunoRN replied to strawberryfields's topic in HIPAA Challenges

    HIPAA allows for "late entry" documentation, there is no time limit. You wouldn't be able to look up information that occurred after to finished caring for the patient, but you could refer to...
  2. MunoRN

    Any Facilities Accepting Text Messages As A New Way Of Receiving Orders?!

    MunoRN replied to Ben_Dover's topic in General Nursing

    Secured medical messaging has been around for a while from a number of companies such as Amion, Halo, Vocera, etc. I generally prefer texts for simple things, usually I just send text and the order...
  3. MunoRN

    Can you refuse to give care to a resident in LTC?

    MunoRN replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    You're free to refuse to be involved in his care, but your employer is free to fire you for
  4. MunoRN

    What would you think if you saw this patient?

    MunoRN replied to coffeemamaRN's topic in General Nursing

    What you're describing is angioedema with a threatened airway (inability to talk suggests swelling in the larynx) which is an automatic ED trip by medics in the event he requires intubation prior to...
  5. MunoRN

    15 lb weight lifting restriction / light duty

    MunoRN replied to remotefuse's topic in General Nursing

    In my experience light duty might include doing audits, working as a UC, projects, etc. Keep in mind though that generally employers are not required to offer you light duty work, they can instead...
  6. MunoRN

    Would you suggest a different drug brand to a patient?

    MunoRN posted a topic in Patient Medications

    A debate came up at work regarding Vimovo and other pills that combine two generics, the combination is considered a new drug and given exclusivity. Vimovo is naproxen and esomeprazole in one pill...
  7. MunoRN

    Afraid of the *really* gross/gorey stuff

    MunoRN replied to mirem's topic in General Nursing

    I don't think any nurse goes into nursing thinking "gosh, I love poop, vomit, blood, and urine, this should be easy". Well, some do, but that's a whole different problem. It's something that becomes...
  8. MunoRN

    Lecture and image use

    MunoRN replied to JaxJax5423's topic in Nursing Educators, Faculty

    The use of copyrighted material for educational purposes clearly falls under "fair use", which means you can legally use copyrighted images for educational purposes. This is very well established...
  9. MunoRN

    Would you suggest a different drug brand to a patient?

    MunoRN replied to MunoRN's topic in Patient Medications

    I think there is some good in keeping our healthcare system viable by advocating for less waste. We have a fixed amount to spend on healthcare, when we spend $2000 a month for something that costs...
  10. MunoRN

    NYT Article: Men don't want to be nurses, and their wives agree

    MunoRN replied to Neuronurse1114's topic in Men in Nursing

    My wife didn't like the idea of me to go into nursing either, but not because of any of the reasons given in the article. She watches Grey's Anatomy and has come to believe that if you open any...
  11. MunoRN

    Responding to patient questions about other patients

    MunoRN replied to Scaattie's topic in Nursing Professionalism

    I usually just tell them they passed away since this isn't protected
  12. MunoRN

    Patient Handoff between ED and Inpatient units

    MunoRN replied to ejmRN's topic in Patient Safety Issues

    You're looking for the holy grail of nursing; how to design a report system that makes everyone happy, so just remember to keep your expectations low. I've worked places where we (in the ED) provide...
  13. MunoRN

    Anxious Vent patient - looking for alternative therapy

    MunoRN replied to NextGen's topic in General Nursing

    Anxiety is unfortunately a normal physiological response to an endotracheal tube or trach, as well as being on a vent, which is why it's encouraged that people decide ahead of time if this is really...
  14. MunoRN

    Nurse practitioner arrested in opioid pill mill

    MunoRN replied to Hopefulpsych's topic in Nursing News

    This was for tramadol? I would think a "pill mill" that gives out tramadol wouldn't compete well against other pill
  15. MunoRN

    What's 'General Specialties'?

    MunoRN replied to No Stars In My Eyes's topic in General Specialties

    "General Specialties" is by definition an oxymoron. Describing something as "general" differentiates it from a
  16. MunoRN

    Would you suggest a different drug brand to a patient?

    MunoRN replied to MunoRN's topic in Patient Medications

    I would agree that it comes down to what our professional role is between the patient and provider. I would disagree that we aren't supposed to get involved in the decisions made by the
  17. MunoRN

    Would you suggest a different drug brand to a patient?

    MunoRN replied to MunoRN's topic in Patient Medications

    I think there's an important distinction between discussing a different drug and discussing the same drug. Whether it's naproxen and esomeprazole in different pills or the same pill it's still the...
  18. MunoRN

    Oxygen and candles after death=Safety hazard!! what do you do?

    MunoRN replied to nurseruss's topic in Patient Safety Issues

    I would avoid the oxygen argument since it's not particularly accurate; oxygen is not actually flammable, and the amount of oxygen in the air in a hospital is not really any different than it is...
  19. MunoRN

    Marijuana: legal in patient belongings?

    MunoRN replied to FutureDNP2021's topic in General Nursing

    My facility's policy defines it as a non-medication, it's grouped with things like ginger root for nausea. Smoking and vaping is not allowed on hospital property, but patients are free to bring in...
  20. MunoRN

    CALL OUT & MAKE UP DAYS in NJ...? IS IT MANDATORY OVERTIME?

    MunoRN replied to GRAB1's topic in General Nursing

    The language of New Jersey's mandatory overtime law for nurses sounds similar to states where I've worked, and in those states this would be a violation of the mandatory overtime law, even if the...
  21. MunoRN

    4 hourly vs 4/24

    MunoRN replied to wingcharm's topic in Patient Medications

    I had never heard of that abbreviation before but just based on basic math, 4/24, ie 4 per 24 would pretty clearly seem to imply 4 doses over a 24 hour period, which would be q 6hrs not q 4hrs, so if...
  22. MunoRN

    "I Narcanned Your Honor Student"

    MunoRN replied to EAGirl's topic in General Nursing

    I enjoy morbid, dark healthcare humor, the more twisted the better, but by definition this is humor that only those of us in healthcare will appreciate, so putting it on a bumper sticker shows a poor...
  23. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    That's the system we currently have and people don't seem to like it. One of the common complaints is that deductibles are too high, so I don't really see people embracing plans that are more...
  24. MunoRN

    Post Foley catheter insertion balloon deflation/reinsertion

    MunoRN replied to nightshift82's topic in General Nursing

    An urge to urinate is not an abnormal finding in someone with a foley catheter, it's fairly normal, so advancing the catheter isn't going to help. The sensation that you need to urinate occurs when...
  25. MunoRN

    Had this question on a nursing practice test

    MunoRN replied to Fo1112394's topic in NCLEX Exam, Programs

    I think the answer they are going after is assault, since that refers to threatening physical abuse against someone, but that's not really correct based on the question. While the question said the...